This position is responsible for leading, supervising, managing, and coordinating the Case Management and Utilization Review departments. Directs both programs and is fully accountable for monitoring program activities, including compliance, planning, implementing, and evaluating program development to ensure clinical and financial activities promote the continuum of care and the appropriate use of clinical resources.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The work involves prolonged periods of sitting in an office setting operating a personal computer, as well as movement throughout the hospital to obtain and review medical records, and to meet with providers and clinical staff. Distant travel may be required for on-going and advanced training. Occasional travel to the satellite health centers for on-site reviews.
The work requires the ability to deal relatively independently with the interrelated elements that affect data analyzing and reporting, in order to resolve complications and controversial matters.
Other Skills and Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
This position is currently not accepting applications.
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